<div class="box box-primary" xmlns:th="http://www.thymeleaf.org">
	<div class="box-header with-border">
		<h3 class="box-title"></h3>
	</div>
	<form id="flupForm" class="form-horizontal" >
	<input id="pid" type="hidden" bindname="pid" th:value="${Id}"/>
		<div class="box-body">
			<div class="form-group">
				<label class="col-md-2 control-label">随访方式：
				</label>
				<div class="col-md-4">
					<select id="flup_type" name="flup_type" bindname="flup_type"></select>
				</div>
			</div>
			<div class="form-group">
				<label class="col-md-2 control-label">随访内容：
				</label>
				<div class="col-md-8">
					<textarea id="flup_content" class="form-control" rows="8"  name="flup_content" bindname="flup_content"  maxlength="512" placeholder="随访内容最多可输入512字  ..."></textarea>
				</div>
			</div>
			<div id="next" class="form-group">
				<label class="col-md-2 control-label">是否结束：
				</label>
				<div class="col-md-4">
					<select id="flup_status" name="flup_status" bindname="flup_status" onchange="selectOnchang()"></select>
				</div>
			</div>
			<div id="nexttime" class="form-group">
				<label class="col-md-2 control-label">下次随访时间：
				</label>
				<div class="col-md-4">
					<input id="next_time" class="form-control date form_date" type="text" name="next_time" bindname="next_time" />
				</div>
			</div>
		</div>
	</form>
		<div class="box-footer">
			<button id="cancel" type="button" class="btn btn-default pull-right">取消</button>
			<button id="save" type="button" class="btn btn-info pull-right mr30">保存</button>
		</div>
	
</div>
<script th:if="${projectModel=='dev'}" th:src="@{/static/js/business/flup/flupForm.js(v=${#dates.createNow().getTime()})}"></script>
<script th:if="${projectModel=='product'}" th:src="@{/static/js/business/flup/flupForm.js}"></script>